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0 <br />, <br />FROM:CITY G= FVERETT BLDC'�'9T T0: 2067677903 �'2 22. 1994 1�SS�M p246 P.02 <br />APPLICATION FOR CONSTRUCTION PERNrIT �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT _ <br />-- -_ _ <br />HC•ATING SYSTEM: �.rGAS J ELECTRIC U I <br />UILDINGDEPARTMENT ---•- _..T... __�..----- <br />59•8810 <br />D MOLITION i COMBINATION i BUILDING �AECHANICAL LUMBING SIGN <br />_ .... �..... <br />i a��p'Jnca� ir 2� PhUGG .... <br />efi- � ��r�—��'avi �rt -7y�,:�J_ _ <br />b„ 1� 4111 � � � �SS �1� V ..._"."_ <br />�U <br />JIO t[ q{�LL51^.\Cf1 1lMLADOfi[55 Q 1.' 7P �- •• •.— PNONF �--�—"—'— <br />1 � <br />_ . . . _....'_'—'_ "_ _ . . .._. "'__'"__" <br />.t/lIIA�(,Y1f�1lUC1JP VNl4DDfIC55 C4v ZI' PI�ONE STATCU:.frGi• <br />f\ f\ <br />A^.'J1¢6•r <br />:�fHcr rmct �r wuna �� <br />7D <br />� —_._' <br />eu:.o nnc r Tnc. wvc_veo <br />�4�i� I>X�CG ..i .I� <br />4 � 1�, �x- ���� <br />� <br />:I� F USF �u f�P. � . . .. . . . . <br />nm r�st:nia i�,.i�rrnorran•,a�i^n�ot:o�h�o�nrrneu*wowrics� <br />T. o�o_, ;... . .. --- �--. ..... <br />Fr.ri rnx i n niiuorc <br />N T I^ IONLWNLF`:UFp �f�OP('SS-7ClW1�ONCNUMEl� <br />TRAY <br />WASHER <br />R00� DRAINS <br />OR OFFICE USE ONLY: <br />��Nicneecr, � � He�Nsh� <br />.0 <br />oF0�:0'�5• <br />iC O� DlD'u � <br />Tv 21• Ph4HE u*��CIICiIli.C� <br />�. � 11��� � 4�� <br />". :�, ""°"° /�EN�x�"�0 77Nc. <br />�_—__•.— .. . ... . . <br />M[MSONAHLPH U`.�� � <br />'�11G1.. �G�-f�-----���� ---- <br />....__ i HEREBY GERTIFY THAT I HAVE (iEAD �ND EXAIdRJEU THIS <br />APpLICATiON AND KNOW THE SAME 10 BE 1 HUE AND CUfif�ECl�. ALl <br />_ PRpVISI0N5 OF LAWS AND ORDINANCES COVFHNINC � Ni8 � YPF GF <br />VJORK WILL BE COMPLETED WlThl WII[TN[R �PECIFIFn HFRrIN OR <br />NOT. THE CiRANTINC OF A PEflMIT UOES NOT PR[SUMC 10 GIVE <br />'' pUTHORi7V TO VIOLATE OR CANCEL 1HE PHOVISIC�NS OF ANV <br />OTHEfi STATE OR LOCAL lAW REGULATIN(i f:l)NSTRII(:Tlph OH THE <br />--- � PERFOR1dANCB OF CONSTpUCTION TMAT 1 A�d AUTHORIZEO BY TNE <br />QWNLR O� TIIIS PRONERTV TO PERFORM TNF. W()H✓. FUH WHICH <br />— APPLIf.�TIO'J IS MADE AND I COMPLV N9TI1 TI�C STAT[ <br />CON1ftAQTOHS LAW 7927 RCW AND 296.200 WAC. <br />Y=-��= �..,� ���,��--- <br />T <br />� FORCEDAIRSYSTEMS—B.TU. M E.A. � <br />� ... ..._..._ ._ _i_ <br />UNit NEATERS—B,T.U. M <br />CLOTHLSDRYEfS <br />VENTILATION FAN <br />RANGENOOD � <br />METAL PIREPLACE (WOOD BURNINO) <br />FIREPLACE INS[RT � <br />HEAT PUMP �--T— <br />GAS PIPINO <br />-- � <br />CI fJ1 U ICf.K NUTAp•_^N 1 <br />���y V <br />IUTANp� VACANi$IiF FE <br />.., YES . ' NO Bl11LDING <br />Kt.W51UItICL rdlbNw. i IdrG'nN..rFli.r�c .—'— <br />���' ' PLUMUING <br />mtxran�v.icn;nca�o PASEVEr+r h��CIIANICAI <br />:11'ES . NU ..._. <br />4ffi ICi N? <br />